Human Papillomavirus Vaccine-Related Risk Perceptions Do Not Predict Sexual Initiation Among Young Women Over 30 Months Following Vaccination.
Human Papillomavirus Vaccine-Related Risk Perceptions Do Not Predict Sexual Initiation Among Young Women Over 30 Months Following Vaccination.
复制标题
人乳头瘤病毒疫苗相关风险认知并不能预测年轻女性在接种疫苗后 30 个月内的性行为。
DOI：
10.1016/j.jadohealth.2017.09.008
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Kahn,JessicaA
中科院分区：
文献类型：
--
作者：
Mullins,TanyaLKowalczyk;Rosenthal,SusanL;Zimet,GregoryD;Ding,Lili;Morrow,Charlene;Huang,Bin;Kahn,JessicaA
PurposeWe纵向研究人乳头瘤病毒（HPV）疫苗相关的风险认知和启动的青春期妇女的性活动超过30个月后HPV vaccination.MethodsParticipants包括91性经验不足的妇女年龄在13-21岁接受HPV疫苗谁完成了至少三个五个研究访问之间的关系。在每次访问中，参与者完成了评估HPV疫苗相关风险认知的调查（除HPV外的性传播感染[STI]的感知风险，对更安全性行为的感知需求）和性行为开始。结果是性开始和性开始的年龄。风险认知和结果之间的关联进行了检查，使用有序的logistic回归模型的性启动和间隔审查的生存分析年龄的sexualinitiation.ResultsMean年龄在基线为14.9年（标准差[SD] 1.4）。大多数参与者认为自己有感染HPV以外的性传播疾病的风险（平均量表评分= 4.0/10; SD 2.1），并认为需要更安全的性行为（平均量表评分= 1.5/10; SD 1.5）。到30个月时，65名参与者（78%）开始性行为。性传播感染的风险和对安全性行为的需求与性行为开始或性行为开始的年龄无关。基线年龄越大，性行为开始越早（p= 0.02），性行为开始年龄越大（p<0.001）。有序的逻辑回归和生存分析的结果是不变的，当控制基线age.ConclusionsHPV疫苗相关的风险认知与性启动或性启动年龄，提供进一步的支持，HPV疫苗相关的风险认知是不太可能导致危险的性行为。
PurposeWe examined longitudinally the relationship between human papillomavirus (HPV) vaccine-related risk perceptions and initiation of sexual activity among adolescent women over 30 months after HPV vaccination.MethodsParticipants included 91 sexually inexperienced women aged 13–21 years receiving the HPV vaccine who completed at least three of five study visits. At every visit, participants completed surveys assessing HPV vaccine-related risk perceptions (perceived risk of sexually transmitted infections [STIs] other than HPV, perceived need for safer sexual behaviors), and sexual initiation. Outcomes were sexual initiation and age of sexual initiation. Associations between risk perceptions and outcomes were examined using ordered logistic regression models for sexual initiation and interval censored survival analyses for age of sexual initiation.ResultsMean age at baseline was 14.9 years (standard deviation [SD] 1.4). Most participants perceived themselves to be at risk of STIs other than HPV (mean scale score = 4.0/10; SD 2.1) and perceived a need for safer sexual behaviors (mean scale score = 1.5/10; SD 1.5). By 30 months, 65 participants (78%) initiated sex. Perceived risk of STIs and perceived need for safer sexual behaviors were not associated with sexual initiation or age of sexual initiation. Older age at baseline was associated with sooner sexual initiation (p= .02) and older age at sexual initiation (p< .001). Results of ordered logistic regression and survival analyses were unchanged when controlling for baseline age.ConclusionsHPV vaccine-related risk perceptions were not associated with sexual initiation or age of sexual initiation, providing further support that HPV vaccine-related risk perceptions are unlikely to lead to riskier sexual behaviors.